Pederson Lane - The expanded dialectical behavior therapy skills training manual: practical DBT for self-help, and individual and group treatment settings

by

L ANE P EDERSON ,

PSYD, LP, DBTC

with

C ORTNEY S IDWELL P EDERSON,

MSW, LICSW, DBTC

Expanded explanations for the classic modules

Expanded examples and application worksheets

Five new skills modules for therapists and clients

Teaching strategies and skills to overcome barriers

Explanations of clinical policies and program forms

Can be used across settings and diagnoses or as a self-help book

Library of Congress Cataloging-in-Publication information is on file.

Copyright 2012 by Lane Pederson

Published by

Premier Publishing and Media

CMI Education Institute, Inc

3839 White Ave

Eau Claire, WI 54703

Printed in the United States of America

ISBN: 978-1-936128-12-9

All rights reserved. No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photo copying, recording, or by any information storage and retrieval system without the written permission from the author (except for the inclusion of brief quotations in a review).

To our children,

Sophie and Sawyer

About The Authors

Lane Pederson, PsyD, LP, DBTC, is the founder and CEO of Dialectical Behavior Therapy National Certification and Accreditation Association (DBTNCAA), the first active organization to certify DBT providers and accredit DBT programs.

Dr. Pederson co-owns Mental Health Systems, PC (MHS), one of the largest DBT-specialized practices in the Midwest United States with multiple locations. Additionally, MHS is a training center for psychology and social work graduate students and interns as well as post-doctoral fellows. At MHS, Dr. Pederson has developed DBT programs for adolescents and adults, has served as a clinical and training director, and has overseen the care of thousands of clients with comorbid Axis I and II disorders in intensive outpatient settings. Moreover, he has coordinated and directed clinical outcome studies.

Dr. Pederson is a highly-rated and in-demand international speaker and educator in DBT and personality disorders. He has also presented on self-injurious behaviors, treatment-resistant clients, and dissociative identity disorder with a common emphasis on practical approaches to complex client situations. He has a particular interest in evidence-based practices and advocating for what works with clients. He has provided consultation to therapists, teams, case management agencies, and mental health clinics.

Cortney Sidwell Pederson, MSW, LICSW, DBTC, is a DBT therapist who has designed and implemented custom DBT programs. She has worked with adolescents and adults in multiple settings across levels of care. She also participates in the ongoing training and supervision of DBT therapists at MHS.

The authors live in Minnesota with their two children and three dogs.

Our work with DBT began in 1999 at a nonprofit community mental health center. Back then, DBT was just starting to disseminate into the mental health field as an exciting and promising treatment for clients with borderline personality disorder.

The DBT program developed in that setting had a group format based on a day treatment model and level of care. This program treated some of the highest-risk clients in Minneapolis, Saint Paul, and the surrounding areas and developed a reputation for effective work with difficult client problems.

Our DBT team was active, involved, motivated, and idealistic. We studied and discussed the work of Dr. Marsha Linehan (the developer of DBT) and made it our own, always looking to our clients for information on how to improve the program. We wanted to provide the best possible service, and we cared passionately about the program and clients.

As our DBT program developed, we consulted constantly and pushed each other to be more effective therapists. Our approach embodied the evidence-based practice defined by the American Psychological Association (APA) many years later.

Many of the therapists from this DBT day treatment program went on to develop successful DBT programs in other clinics or in their own practices over the next decade.

DBT as an approach is now at an interesting crossroads. A brief discussion of standard (Linehan) versus other models of DBT and evidence-based practice is included in this book because of the adherence movement (i.e. the mandate that DBT therapists need to strictly follow the standard model) promoted by Dr. Linehan and her training company Behavioral Tech, LLC.